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Title: A novel rescue maneuver for a distal dislodged lumen-apposing metal stent (LAMS): "LAMS-in-LAMS" technique
Author: Curieses Luengo, Maria
Consiglieri, Claudia F.
Puga, Manuel
Gornals Soler, Joan B.
Keywords: Endoscòpia
Drenatge quirúrgic
Surgical drainage
Issue Date: 1-Jan-2019
Publisher: Sociedad Espanola de Patologia Digestiva (SEPD)
Abstract: Introduction: the appearance of the lumen-apposing metal stent (LAMS) has meant an authentic revolution. To date, the results are promising but it is necessary to note the technical incidents and LAMS-related complications. Case report: an EUS-transmural guided drainage using a HotAXIOS was planned for a 36-year-old man with oral intolerance due to a voluminous walled-off necrosis. The distal flange was left in the collection, but a total distal malposition occurred during the proximal flange delivery, despite correct apposition with visualization of the black mark. A rescue technique was performed inserting a second LAMS over-the-guidewire salvaging the initial failed transmural drainage. Discussion: This case is a reminder that in similar scenarios, extreme tension of the echoendoscope can cause a malfunction of the AXIOS stent delivery system, and lead to a total distal malposition. This "LAMS-in-LAMS" technique is feasible, effective, and a very helpful rescue technique in cases of dislodged LAMS.
Note: Reproducció del document publicat a:
It is part of: Revista Española de Enfermedades Digestivas, 2019, vol. 111, num. 3, p. 243-245
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Appears in Collections:Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL))

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